DR. KAMAL D. BHAKTA (NPI# 1801057260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801057260 |
| Entity Type | Individual |
| Full Name | DR. KAMAL D. BHAKTA |
| Credential | PHARM.D.,R.PH.,MBA |
| Practice Address |
4000 24th St Lubbock TX 79410-1894 |
| Mailing Address |
4015 22nd Pl Lubbock TX 79410-1119 |
| Practice Telephone | 8067256770 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2020-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | S017078 | AZ | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP00007066 | NM | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 45446 | TX | Pharmacy Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 165940 | 01 | |
| NM | NM PRECEPTOR | 1351 | 01 |
| TX | TX PRECEPTOR | TX PRECEPTOR | 01 |
| AZ | AZ PRECEPTOR | AZ PRECEPTOR | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 702 Sw 8th St, Bentonville, AR 727164200 | 8067933001 | 8067932571 |
| Street Address |
4000 24TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960505 | Edwin A Contreras | Pediatrics | 4000 24th St, Lubbock, TX 79410-1894 | 2005-11-25 |
| 1487921623 | Wesley J Crane | Nurse Anesthetist, Certified Registered | 4000 24th St, Lubbock, TX 79410-1894 | 2011-11-16 |
| 1679766513 | J Eric Sparks | Pediatrics | 4000 24th St, Lubbock, TX 79410-1894 | 2007-08-23 |
| 1306049242 | Neonatal Intensive Care Associates | Pediatrics | 4000 24th St, Nicu, Lubbock, TX 79410-1894 | 2007-06-07 |
| 1629288238 | Covenant Health System | Substance Abuse Rehabilitation Facility | 4000 24th St, Lubbock, TX 79410-1894 | 2007-05-23 |
| 1215012299 | Samuel B Herrera | Emergency Medicine | 4000 24th St, Lubbock, TX 79410-1894 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538384 | Dustin Tyler Smith | Pharmacist | 3615 19th St # Ms 108, Lubbock, TX 79410-1203 | 2020-11-05 |
| 1811503386 | Rebecca Joann Tally | Pharmacist | 6101 43rd St # Stc, Lubbock, TX 79407-3749 | 2020-09-21 |
| 1710596507 | Thara Mary Issac | Pharmacist | 4510 Ironton Ave Apt 9103, Lubbock, TX 79407-3789 | 2020-07-28 |
| 1033727805 | Neely Hudson | Pharmacist | 14310 Uvalde Ave, Lubbock, TX 79423-2777 | 2020-07-17 |
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1851945786 | Will Burkett Ford I | Pharmacist | 6031 75th St, Lubbock, TX 79424-1935 | 2019-07-29 |
| 1700439445 | Megan Elizabeth Sneller | Pharmacist | 5813 91st St, Lubbock, TX 79424-3624 | 2019-07-22 |
| 1447813597 | Tiffany N Coomer | Pharmacist | 8062 Peach St, Lubbock, TX 79404 | 2019-04-15 |
| 1033682059 | Paul Wilbanks | Pharmacist | 12815 Indiana Ave., Lubbock, TX 79423-7942 | 2019-01-03 |
| 1437629300 | Monty Mcminn | Pharmacist | 3805 22nd St Ste 2a, Lubbock, TX 79410-1142 | 2018-12-04 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.